Organization
I STUART MCIVER OD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IAIN STUART MCIVER O.D. (PRESIDENT)
(954) 232-9585
Entity
Organization
Contact information
Practice address
611 S 13TH ST, FORT PIERCE, FL 34950-4054
(954) 232-9585
(954) 433-5770
Mailing address
1206 MEADOWS BLVD, WESTON, FL 33327-1800
(954) 232-9585
(954) 433-5770
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC2728
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001402800
—
FL
Enumeration date
08/08/2009
Last updated
08/03/2010
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